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Home My WebLink About25891-zFORM NO. 4 TOWN OF ~OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26673 Date: 09/09/99 THIS CERTIFIES that the building ADDITION Location of Property: 27754 MAIN RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 18 Block 6 Lot 21.9 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 1999 pursuant to which Building Permit No. 25891-Z dated JULY 22, 1999 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CAROL LEE TAYLOR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Bul~ Inspector Rev. 1/81 FORM NO. 3 TOWN OF ~OUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25891 Z Date JULY 22, 1999 Permission is hereby granted to: CAROL LEE TAYLOR PO BOX 24 ORIENTrNY 11957 for : CONSTRUCTION OF A DECK ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 27754 MAIN RD ORIENT County Tax Map No. 473889 Section .018 Block 0006 Lot No. 021.009 pursuant'to application dated JUNE 10 1999 and approved by the Building Inspector. Fee $ 75.00 Authorized Signature Rev. 2/19/98 ORIGINAL Form No. 6 ~'~' ~?~ ~ ~ ~ ~ ~ ~1~11 TOWN OF SOUTHOLD i- ~g~%~T~'OtD t PLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of ,property with accurate location of all buildings, property lines, streets,, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board ApprOval of completed site plan requirements. B. For ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and qpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features, 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1.~ Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - i .~5~, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date · .... Hew Construction ..... K... 01d Or Fre-exist~ng Building ......... Location of Property ................. ~ ................................. House No. -' Street Hamlet of Property ' ' County T= Map 1000, Section.. --- ......... ............. .............. Subdivision .................................... Filed Map ............ Lot ...................... ~m~ ~o .... ~.~.~.~...~ o~ ~ ................ ~= ......... ~ u~. ...... Health Dep¢. Approval .......................... Hnderwr~ters Approval.. ~ ............ Roquest for: Temporary CertSf~cate ........... FSnal Cert~cate ........... ~PLICANT Fee Submitted: ~ ~6~7~ PER N.Y. ~ SULATION S~A~coD~ ~ i ~""" FINAL ADDITIOI~IAL CO~HTS: 76S-1802 BUILDING DEPT. DATE ~~ INSPECt/ '4. 59° 33' 50"E . 347. 66' · "" L.~ "t ,. ~ / CERTIFIED TO' ~r ~ /75.~ '~ m~ , kt ~1.~ ~ ~ ~ / CAROL LEE TAYLOR , : I ~f -~;- ~:~1~ ~ / F~ST AMERICAN TITLE INSTANCE [ , ~, ~ [ ~ / CO.ANY OF NE~ YORK ' I? ' :~ '' ~ - 0 ~ ~ ~ ~, ~, ~: ~?-~ ,- , . ~ · ,.=.~... ~ . = o / ~" ' / ~"~;~L~;/:7:--~:~;~L~ ) ~ ' ~F"PROPER~'~;,' "~+:' o I ¢~," L-~ ,J J ?z/* " : '~'~' ;' "": ' ~ : ' " ' LOT 4 xe. - z'. '~::] ~e.:.- ~" '(,;~'~1:'~ ~ ~ ~ ~ , · '~':(' "' :~' .,' ~ ' II, ,' ~' ~1~2 Z_~' ~e2~-~,",~'-;: '"".., ~ ~ ~ ~.* ~. -- ~ ZO 0-4 LOT NUMBERSR~¢~'TOb"~A'P ~F'M NOR SUBDV SON" ~lJ- ~~~g~m~m'~ " / ~~AD MADE FOR JOSEPH:,'~ EDWINA HATAIER ' ~ ~Z~¢ ~ ~m~ J ~ sO,UTHOLD, N.Y, 11971 .: CDNTOUR LINES ~E REFERENCED ~ N G.V.D. 5/z//~ =t~ '~ j : 87- 933D / / Roof O~ wOO0 S. 59° :~3' 5'0" N /0/~; 197.14. / LOT 'L A N.D OF DOR N ~' LOT 4- ~)isatapro~'~ a/c .... · //(lluilding Inspector) ' ' /~PPLICATION FOR BUILDING PERI~IT · FOI~ N0. TOI~I OF SOUTItOLD . BU~LDIIIG TOI~I ItALL SOUTltOLD, N.Y. TEL: 765- 1802 INSTRUCTIONS BOARD OF HRALTIt ...~ ..... . ...... s sETs oF ~s .......... SURLY .....~ ............. ~ SEPTIC FORI4 ...... NOTIFY: HAIL TO: .................... a. This application mm%. be .c~pletely filled in by type~iter or in ink and ~,~-itted to r/m Building Inst~tor 3 ~ete of plans, accurate plot plan to scale. Fee according to sdaedule. b, Plot plan alx~Ing locatio~ of lot aad of lmildiI~s un lm~ises, ~elationahip to adjoining premises or public s~reete or areas, and giving a detailed de~:rip£ica of ~ of prOl~t"W mast b~ drs~ an tl~ dia~,~ ~aich is part of this application. c. Toe ~ork covm~d by this applicatioa ~aay not be ccmmnced before issuance of ~uilding Pemit. d. ~ appn~al of this applicatioo, the l~uilding Inspector will ta~e a Building Permit to the applicant. pemit atmll be.kapt on tbe l~aca a~ail~ble for inspection tht~ugheut ~e york. e. lto I~ilding ahall be _o~m. ied or ~ in ~,t~ole or in pa~ for any. propose ~natevor until a Certificate of Occupancy simll have beon gXunted by tt~ Ikdlding Inspector. aPl~Ia I~ ~ ~ to the Bailding ~t for tim iastumce of a l~nilding Pemlt porstmnt to the Building Zone Or~,~mca off tim To~ of .~mt~old, ~affolk Cotm~y, ~ Yo~k, and orl~er al~licable Lmm, O~dina~es or IL-,gulations, for the cunst~uctiun of buildings, additiuns or alterati~as, or for r~oval or ~oliti~, as hereia described. ~e applicant all~ea to co~ply with all a~licable la~, or~_~,~r~es, building c~a, Ix~ivg ccxte, and vagulatluns, and to artalt authorized inspectors un praises and in bailding for r~asary inspectiees. ($igastm~ of applic~t, or na~, if a corporation) (Nailing aatreas of applicant) State ~ae~er applicait is a,mt, lessee, agent, architect, engineer,' ~mtal ~t~tor, el~tricim, pl~r or ~ild ~/*~. .......................................................................................... cj (~ ~ ~ ~ ~11 or la,est ~) If ~limt is a ~t~, siam of ~y ~ri~ offiar. and title o£ corporar~e officar) Plumbers Li~e No .......................... " ~lectricimm IA~e~e 1~ ...................... O~er Trade's License No ..................... I. I~:ation of !~ on ~hich proposed ~ork will be ~ .... ~ ........................... ,. ............................ ........... c~ ~ ~ ~,. ~o__ __s~ti~ .... ¢./..~..- .... B~oa .... 8ubdivi M on .d.-~.Q$~'~O. ~ .~. ~L~/~..~A. ?...4lB../¢..e'. ......... Filed ~p 2. ~e ~s~ ,. ~,~ ~ ~ ~ ..... ~za6Z~.,~.~.~<~..~.~.h.~. .......... ~7... D. ~ ~ ~ ~ .......... , ............... ~. ................... ....-. .... ~lli~, ~r ~ ......... ,~/. ....... ~i~c ...i.~ ............ ~ o~ Sto, te, .Z...,.,..:...~ ~,, o~ ~.....~!~ ...... ~. ~ or ~ ~.........~/~....... ................... . · · · · ~ill lo~ ~ ~ ....... .~..-~ ..... ~ill ~ss iill ~ ~ ~ ~s: ~ pLOT DIAO~ e~r interior or m~r lot. (~t~tor, ~nC, ~ate oilier, etc.) ' ~d ~r or ~rs, ~ is &ly ~t~r~ ~o ~rfo~ or h~ ~rfo~ ~e ~id w~ ~ to ~ ~ file this ~'~8,~ deposes and says thac be is a~e applicant